NPI | 1275841009 |
---|---|
Entity Type | Organization |
Authorized Contact | EDGAR T JULIAN Administrator 301-270-1577 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 251E00000X Home Health (Licence: PA 04550501) |
253Z00000X In Home Supportive Care (Licence: PA 04550501) | |
251J00000X Nursing Care (Licence: PA 04550501) | |
Enumeration Date | 2010-09-14 |
Last Update Date | 2012-02-27 |